A 3-Year-Old Boy Is Brought to the Office for a Well-Child

question 218

Multiple Choice

A 3-year-old boy is brought to the office for a well-child visit.  His mother reports that, apart from an ear infection last year, he is in good health.  The child started preschool this year.  He plays alongside other children and often copies what they are doing but does not play cooperatively with them.  The patient knows his age and gender and speaks in 3-word sentences.  He can ride a tricycle.  The patient cannot use a spoon or fork but enjoys eating with his hands.  He scribbles spontaneously but cannot copy a circle.  He weighs 14.5 kg (32 lb) and is 96.5 cm (3 ft 2 in) tall.  Head circumference is 50.8 cm (20 in) .  Which of the following developmental milestones is likely delayed in this patient?

• A)Cognitive
• B)Fine motor
• C)Gross motor
• D)Language
• E)Social